How much rates vary
Facilitymedian $7,413 · 10th to 90th $1,698 to $10,965Professionalmedian $1,047 · 10th to 90th $708 to $1,738
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $3,090.30 Median $7,413.10 Typical High $16,218.10 | Facility | None | $3,090.30 | $7,413.10 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,348.96 | Professional | None | $645.65 | $1,000.00 | $1,348.96 |
BCBS Kansas Setting Facility Modifier None Typical Low $5,011.87 Median $7,413.10 Typical High $7,762.47 | Facility | None | $5,011.87 | $7,413.10 | $7,762.47 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $8,128.31 Median $10,471.29 Typical High $18,620.87 | Facility | None | $8,128.31 | $10,471.29 | $18,620.87 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $954.99 Typical High $1,230.27 | Professional | None | $741.31 | $954.99 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $2,818.38 Typical High $12,022.64 | Facility | None | $954.99 | $2,818.38 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $3,981.07 | Professional | None | $758.58 | $1,023.29 | $3,981.07 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $13,489.63 | Facility | None | $933.25 | $3,548.13 | $13,489.63 |
United Setting Professional Modifier None Typical Low $691.83 Median $977.24 Typical High $1,584.89 | Professional | None | $691.83 | $977.24 | $1,584.89 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $398.11 Typical High $676.08 | Professional | 52 · Reduced service | $323.59 | $398.11 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $158.49 Typical High $269.15 | Professional | 53 · Discontinued | $128.82 | $158.49 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $602.56 Typical High $1,000.00 | Professional | 54 · Surgery only | $478.63 | $602.56 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $120.23 Typical High $199.53 | Professional | 55 · Aftercare only | $95.50 | $120.23 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $79.43 Typical High $134.90 | Professional | 56 · Pre-op care only | $64.57 | $79.43 | $134.90 |
Where Kansas sits
The same service costs 9.6 times more in Oklahoma than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
OK $19,472MT $2,030
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.